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ENT FINAL > Extra MCQ > Flashcards

Extra MCQ Flashcards

1
Q
  1. A 4-year-old child presented by his mother complaining of lack of attention, mouth breathing and hyponasality:

a. Secretory Otitis Media is suspected
b. Adenoid is suspected
c. Both 1 & 2
d. None of the above

A

c. Both 1 & 2

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2
Q
  1. Throbbing and severe earache is present in the following stage of Acute Otitis Media

a. Stage of salpingitis
b. Stage of Catarrhal Otitis Media
c. Stage of Suppurative Otitis Media
d. Stage of Tympanic Membrane Perforation

A

c. Stage of Suppurative Otitis Media

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3
Q
  1. The first line of treatment in a child who develops LMN Facial Paralysis after AOM is:

a. Antibiotics and Corticosteroids
b. Decompression of Facial Nerve
c. Exploration of Facial Nerve
d. Myringotomy

A

d. Myringotomy

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4
Q
  1. In otosclerosis, the following is true EXCEPT:

a. Usually affects both ears
b. Shows more progress during pregnancy
c. Shows type As curve on Tympanometry
d. Tympanoplasty is the operation of choice
e. Family history is commonly positive

A

d. Tympanoplasty is the operation of choice

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5
Q
  1. The following fibers are present in the facial nerve EXCEPT:

a. Secreto-motor fibers to the lacrimal gland through the GSPN
b. Secreto-motor fibers to the submandibular gland through the Chorda Tympani
c. Taste sensation fibers to the anterior third of the tongue through the Chorda Tympani
d. Motor fibers to the tensor tympani muscle

A

d. Motor fibers to the tensor tympani muscle

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6
Q
  1. Otitis Media with Effusion in children should be initially treated by:

a. Medical treatment in the form of systemic steroids for several weeks
b. Medical treatment in the form of systemic steroids only for 48 hours
c. Adenoidectomy and Myringotomy
d. Adenoidectomy and placement of Ventilation Tubes
e. Long term Penicillin till the age of 15 years

A

b. Medical treatment in the form of systemic steroids only for 48 hours

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7
Q
  1. A positive Kernig’s sign means:

a. Reflex inhibition of the hips and knees when the neck is flexed
b. Inability to extend the knee completely when the hip is flexed on the abdomen
c. Inability to do rapid alternating movements
d. None of the above

A

b. Inability to extend the knee completely when the hip is flexed on the abdomen

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8
Q
  1. A patient with anosmia will still respond to inhalation of:

a. Coffee
b. Vanilla
c. Ammonia
d. Garlic

A

c. Ammonia

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9
Q
  1. A 15-year-old boy presented with history of recurrent epistaxis and protrusion of the eye ball that started one year ago. On examination there was a unilateral fleshy nasal mass on the side of the proptosis. The first important step to do is:

a. Schedule the patient for urgent surgery to remove the mass
b. Do CT of the nose and paranasal sinuses and angiography if found to be vascular
c. Take biopsy from the mass to reach a histological diagnosis
d. Do ophthalmology consultation to assess the condition of the eye and orbit
e. Give blood transfusion to correct anemia

A

d. Do ophthalmology consultation to assess the condition of the eye and orbit

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10
Q
  1. “Beck’s Triad include all of the following EXCEPT:

a. Swelling in the lateral pharyngeal wall pushing a normal tonsil medially
b. Tender firm external swelling in the lateral side of the neck
c. Trismus
d. White spots on the surface of the tonsil

A

d. White spots on the surface of the tonsil

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11
Q
  1. The main cause of Secondary Post-Tonsillectomy Bleeding is:

a. Elevated blood pressure
b. Slipped ligature in the tonsillar bed
c. Coagulation factors deficiency
d. Infection in the operative bed

A

d. Infection in the operative bed

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12
Q
  1. Nasopharyngeal Carcinoma can cause paralysis of the following nerves EXCEPT:

a. Vagus
b. Facial
c. Glossopharyngeal
d. Abducent

A

b. Facial

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13
Q
  1. An apnea is defined as cessation of breathing for:

a. 10 seconds
b. 12 seconds
c. 15 seconds
d. 18 seconds

A

a. 10 seconds

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14
Q
  1. A 20-year-old male presented to the Emergency Room complaining of severe throbbing pain in the right of his throat. His pain started two days ago and rapidly progressed and became throbbing in nature. On examination, his temperature was 38. He could not open his mouth properly during oral examination. His palate was found to be swollen and the tonsil was pushed medially and downwards. His upper deep cervical LNs were enlarged and tender. The initial line of treatment is:

a. IV broad spectrum antibiotics
b. Incision and Drainage under local anesthesia
c. CT scan to diagnose the extension of the disease
d. IV Fluids to avoid dehydration
e. Tracheostomy to avoid any airway compromise

A

b. Incision and Drainage under local anesthesia

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15
Q
  1. The following spaces can be the site of “abscess formation” in the area of the head and neck EXCEPT:

a. Peritonsillar space
b. Paraglottic space
c. Parapharyngeal space
d. Retropharyngeal space
e. Submandibular space

A

b. Paraglottic space

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16
Q
  1. A 5-year-old boy presented to the emergency room with bleeding from the mouth. He underwent tonsillectomy one week ago. His surgery went uneventful and he was discharged home at the same day in a stable condition. Six days later, he started to spit few blood drops. Then, bleeding gradually progressed. His Hb on admission was 11.5. Management of this case should be:

a. Surgical intervention in the form of ligation of the bleeders
b. Admission to the hospital, observation, and IV antibiotics
c. Immediate tracheostomy to save his airway
d. Immediate blood transfusion to replace his blood loss
e. Angiography and embolization of the bleeding vessels

A

b. Admission to the hospital, observation, and IV antibiotics

17
Q
  1. Secondary hemorrhage after tonsillectomy is most commonly seen:

a. During the surgery
b. Immediately after the surgery
c. 24 hours after surgery
d. 6 days after surgery
e. 4 weeks after surgery

A

d. 6 days after surgery

18
Q
  1. The following conditions cause a membrane on the tonsils EXCEPT:

a. Acute follicular tonsils
b. Peritonsillar abscess
c. Vincent’s Angina
d. Diphtheria
e. Infectious Mononucleosis

A

b. Peritonsillar abscess

19
Q
  1. All of the following is correct about leukoplakia of the larynx EXCEPT:

a. It is caused by excessive smoking
b. It never turns malignant
c. It causes gradual hoarseness of voice
d. It is white in color

A

b. It never turns malignant

20
Q
  1. A 3-year-old boy complained of sudden acute respiratory distress with spasmodic cough, cyanosis & and acting accessory respiratory muscles is most probably due to:

a. Acute Follicular Tonsillitis
b. Foreign body inhalation
c. Adenoid hypertrophy
d. Vocal cord nodule

A

b. Foreign body inhalation

21
Q
  1. Surgical Emphysema after tracheostomy is corrected by:

a. Taking more stitches of the wound
b. Cold compress
c. Widening of the wound by removal of some stitches d. Antihistaminic intake

A

a. Taking more stitches of the wound

22
Q
  1. The most important function of the larynx is:

a. Voice production
b. Protection during swallowing
c. Cough production
d. Increasing subglottic pressure

A

b. Protection during swallowing

23
Q
  1. Laryngeal SCC is characterized by all of the following EXCEPT:

a. Smoking is a predisposing factor in carcinogenesis
b. It seldom arises from the subglottic area
c. Invasion of the laryngeal cartilages is staged as T4 disease
d. It commonly sends distant metastases to the lungs, bone, and liver

A

d. It commonly sends distant metastases to the lungs, bone, and liver

24
Q
  1. A 60-year-old male, chronic heavy smoker presented with hoarseness of voice of several months not responsive to medical treatment. Laryngeal examination showed a fungating mass arising from the right vocal cord, which was found fixed. CT scan in such case is indicated in order to determine:

a. The exact site of the tumor
b. The exact size of the tumor
c. Extension of the tumor to the hypopharynx
d. Extension of the tumor to tongue base
e. Extension of the tumor to the cartilage and/or intralaryngeal spaces

A

e. Extension of the tumor to the cartilage and/or intralaryngeal spaces

25
Q
  1. The following are indications of Tracheostomy EXCEPT:

a. Expected prolonged intubation in the ICU
b. Before resection of large Oro-mandibular tumor
c. Extensive leukoplakia affecting both vocal cords
d. Bilateral vocal cord paralysis after total thyroidectomy
e. Advanced supraglottic laryngeal cancer obstructing the laryngeal inlet

A

c. Extensive leukoplakia affecting both vocal cords

26
Q
  1. A 5-year-old boy was brought by his parents to the emergency room with obvious Stridor. His temperature was 38 C. On examination, the boy was clearly distressed. Retraction of the intercostal and suprasternal notch was noted. The most probable diagnosis is:

a. Laryngomalacia
b. Inhaled Foreign Body
c. Acute Laryngo-Tracheo-Bronchitis
d. Diphtheria
e. Juvenile onset recurrent respiratory papillomatosis

A

c. Acute Laryngo-Tracheo-Bronchitis

27
Q
  1. An 8-year-old boy had urgent tracheostomy done under local anesthesia for Stridor due to laryngeal papillomatosis. Immediately after surgery he became distressed with increased effort of breathing and intercostal retractions despite adequate air flow from the tracheostomy tube. The most likely that happened is:

a. Slipped tracheostomy tube out of the trachea
b. Pneumothorax due to injury of the pleura
c. Surgical emphysema in the neck
d. Bilateral injury of the recurrent laryngeal nerves
e. Occluded lumen of the tracheostomy tube with dry mucus crust

A

b. Pneumothorax due to injury of the pleura

28
Q
  1. Which of the following arise the suspicion of inhaled foreign body in a young child?

a. History of an attack of sudden cough, chocking, and cyanosis
b. A chest X-ray showing unilateral lung emphysema
c. A chest X-ray showing unilateral lung atelectasis
d. Persistent wheezes over one lung
e. All of the above

A

e. All of the above

29
Q

Most common location in the vocal cord for the vocal cord nodule:

a. Junction of anterior 1/3 and posterior 2/3
b. Anterior commissure
c. Junction of posterior 1/3 and anterior 2/3
d. Posterior commissure

A

a. Junction of anterior 1/3 and posterior 2/3

ENT FINAL (6 decks)

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